CAJ | 학술논문

目的：探讨脑卒中患者蒙特利尔认知评估量表(MoCA)评分的特点，分析年龄、昏迷与否、损伤侧、损伤部位等因素对MoCA总分和各分项评分的影响。方法记录135例脑卒中患者一般资料，并使用MoCA进行评分，分析结果。结果患者在延迟回忆、抽象、语言、视空间与执行功能方面平均得分相对较低，而在命名、注意、定向方面得分相对较高。年龄较大患者与年龄较小患者在MoCA总分、注意、语言、延迟回忆和定向得分上有显著性差异(P<0.05)。发生昏迷的患者与未发生昏迷的患者在总分、视空间与执行功能、注意、定向等项目上得分有显著性差异(P<0.05)。病变侧在左侧的患者与在右侧的相比，总分、注意、语言、抽象和延迟回忆、定向得分上有显著性差异(P<0.05)。与基底节损伤相比，额叶损伤在总分、注意、抽象和延迟回忆得分上有显著性差异(P<0.05)，额、颞、顶叶损伤在总分、命名、抽象和延迟回忆得分上有显著性差异(P<0.05)。结论 MoCA可以在一定程度上反映脑卒中患者认知障碍的程度，年龄、是否发生昏迷、损伤病变侧和损伤部位会影响患者的认知障碍程度。
목적：탐토뇌졸중환자몽특리이인지평고량표(MoCA)평분적특점，분석년령、혼미여부、손상측、손상부위등인소대MoCA총분화각분항평분적영향。방법기록135례뇌졸중환자일반자료，병사용MoCA진행평분，분석결과。결과환자재연지회억、추상、어언、시공간여집행공능방면평균득분상대교저，이재명명、주의、정향방면득분상대교고。년령교대환자여년령교소환자재MoCA총분、주의、어언、연지회억화정향득분상유현저성차이(P<0.05)。발생혼미적환자여미발생혼미적환자재총분、시공간여집행공능、주의、정향등항목상득분유현저성차이(P<0.05)。병변측재좌측적환자여재우측적상비，총분、주의、어언、추상화연지회억、정향득분상유현저성차이(P<0.05)。여기저절손상상비，액협손상재총분、주의、추상화연지회억득분상유현저성차이(P<0.05)，액、섭、정협손상재총분、명명、추상화연지회억득분상유현저성차이(P<0.05)。결론 MoCA가이재일정정도상반영뇌졸중환자인지장애적정도，년령、시부발생혼미、손상병변측화손상부위회영향환자적인지장애정도。
Objective To investigate the characteristics of Montreal Cognitive Assessment (MoCA) and analyze the influence of age, co-ma or not, injury side, and injury area on the scores of MoCA. Methods 135 stroke patients were evaluated with MoCA. Results The scores were poor in delayed recalling, abstraction, verbal fluency, view space and executive function, and were less poor in naming, attention and orientation. There was significantly difference in the total score, attention, verbal fluency, delayed recalling and orientation of MoCA be-tween older and younger patients (P<0.05). There was significantly difference in the total score, view space and executive function, atten-tion, orientation between patients with coma and without coma (P<0.05). There was significantly difference in the total score, attention, ver-bal fluency, abstraction, delayed recalling and orientation between thoses with left side injury and right side injury (P<0.05). Compared with basal ganglia injury, front lobes injury tended to impact the total scores, attention, abstraction and delayed recalling (P<0.05);frontal, tempo-ral and parietal lobes tended to impact the total score, naming, abstraction and delayed recalling (P<0.05). Conclusion The total scores of MoCA do reflect the cognitive impairment in patients with stroke, while the age, coma or not, injury side and injury area of the brain may impact the cognitive impairment in patients.